Individual
JOSEPH KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.ED
Contact information
Practice address
7000 AUSTIN ST, SUITE 200 CPSE, FOREST HILLS, NY 11375
(718) 762-7633
Mailing address
7000 AUSTIN ST, SUITE 200 CPSE, FOREST HILLS, NY 11375
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
501342
NY
390200000X
Student in an Organized Health Care Education/Training Program
501342
NY
Other
Enumeration date
08/02/2013
Last updated
11/11/2025
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